Abstract
Systemic candidiasis with renal involvement is a well recognised complication of intensive care in premature newborns. However, the development of reversible obstructive oliguric acute renal failure has not been well documented. We report a premature infant who developed anuria associated with bilateral candidal bezoar formation in the renal collecting system. The sonographic appearance of the renal fungus balls is described. Treatment by surgical removal of the bezoars, open placement of nephrostomy tubes and intravenous antifungal therapy resulted in apparent complete recovery.
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Abbreviations
- BUN:
-
blood urea nitrogen
References
Baley JE, Kliegman RM, Fanaroff AA (1984) Disseminated fungal infections in very low-birth-weight infants: Clinical manifestations and epidemiology. Pediatrics 73:144–152
Baley JE, Kliegman RM, Fanaroff AA (1984) Disseminated fungal infections in very low-birth-weight infants: Therapeutic toxicity. Pediatrics 73:153–157
Boineau FG, Rothman J, Lewy JE (1975) Nephrosonography in the evaluation of renal failure and masses in infants. J Pediatr 87: 195–201
Fisher JF, Chew WH, Shadomy S, Duma RJ, Mayhall CG, House WC (1982) Urinary tract infections due to candida albicans. Rev Infect Dis 4:1107–1118
Johnson DE, Thompson TR, Green TP, Ferrieri P (1984) Systemic candidiasis in very low-birth-weight infants (<1,500 grams). Pediatrics 73:138–143
Keller MA, Sellers BB, Melish ME, Kaplan GW, Miller KE, Mendoza SA (1977) Systemic candidiasis in infants. Am J Dis Child 131:1260–1263
Patriquin H, Lebowitz R, Perreault G, Yousefzadeh D (1980) Neonatal candidiasis: Renal and pulmonary manifestations. Am J Roentgen 135:1205–1210
Smith DT (1952) The disturbance of the normal bacterial ecology by the administration of antibiotics with the development of new clinical syndromes. Ann Intern Med 37:1135–1143
Ward RM, Sattler FR, Dalton AS (1983) Assessment of antifungal therapy in an 800-gram infant with candidal arthritis and osteomyelitis. Pediatrics 72:234–238
Wise GJ, Kozinn PJ, Toni E (1973) Yeast in the urine. Am Fam Physician 7:120–125
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Laufer, J., Reichman, B., Graif, M. et al. Anuria in a premature infant due to ureteropelvic fungal bezoars. Eur J Pediatr 145, 125–127 (1986). https://doi.org/10.1007/BF00441872
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DOI: https://doi.org/10.1007/BF00441872